Review Article

Bisphophonates in CKD Patients with Low Bone Mineral Density

Table 1

Bone diseases may associate with fragility fractures (low trauma fractures).

Name of bone diseasesGeneral metabolic bone diseasesChronic kidney disease-mineral bone disease (CKD-MBD)

Adynamic bone disease (including aluminum bone disease)Yes
Amyloid bone diseaseYes (AL-amyloidosis.)Yes ( 2-microglobulin)
Mixed uremic osteoporosisYes
Osteitis fibrosa cystica (severe)Yes
(primary hyperparathyroidism)
Yes
(secondary hyperparathyroidism)
Osteogenesis imperfectaYes

Osteomalacia
Vitamin D-relatedYesYes
Nonvitamin D-related
 Chronic metabolic acidosisYesYes
 Phosphate depletionYesYes

Osteoporosis
Primary osteoporosisYesYes
Secondary osteoporosis (all causes)
 Chronic liver diseaseYes
 Hypogonadism or premature menopauseYes
 Inflammatory bowel diseaseYes
 MalabsorptionYes
 Steroid-induced osteoporosisYes

Pathologic fractures (malignancies)Yes

Paget’s diseaseYes